ArticleInternational archives of occupational and environmental health2012
Depressive symptoms in junior doctors: a follow-up study on work-related determinants.
Article in International archives of occupational and environmental health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychosocial Occupational Exposures and Mental Illness.Deutsches Arzteblatt international · 2022Pooled it
- Pooled it
- Association between social skills and mental health outcomes in Health Science Residents in Brazil.PloS one · 2026Article
- Perceived impact of patients' suicide and serious suicidal attempts on their treating psychiatrists and trainees: a national cross-sectional study in Saudi Arabia.BMC psychiatry · 2023Article
- Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.BMC health services research · 2022Article
- Different Facets of Creativity in Employees Covering Non-Clinical to Clinical Manifestations of Burnout.Journal of Intelligence · 2022Article
- Effort-Reward-Imbalance, Burnout, and Depression Among Psychiatrists 2006 and 2016-Changes After a Legislative Intervention.Frontiers in psychiatry · 2021Article
- [Mental health among physicians : Burnout, depression, anxiety and substance abuse in the occupational context].Der Nervenarzt · 2019Article
- Residency Program Factors Associated With Depressive Symptoms in Internal Medicine Interns: A Prospective Cohort Study.Academic medicine : journal of the Association of American Medical Colleges · 2019Article
- The impact of the Paris terrorist attacks on the mental health of resident physicians.BMC psychiatry · 2019Article
- Depressive symptoms and associated factors in medical interns at a tertiary hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2019Article
- The Implications of Psychological Symptoms for Length of Sick Leave.Deutsches Arzteblatt international · 2017Article
- Associations of psychosocial working conditions and working time characteristics with somatic complaints in German resident physicians.International archives of occupational and environmental health · 2016Article
- Effort-reward imbalance and perceived quality of patient care: a cross-sectional study among physicians in Germany.BMC public health · 2016Article
- Work stress, burnout, and perceived quality of care: a cross-sectional study among hospital pediatricians.European journal of pediatrics · 2015Article
- Working conditions and effort-reward imbalance of German physicians in Sweden respective Germany: a comparative study.International archives of occupational and environmental health · 2015Article
- Hospital physicians' work stressors in different medical specialities: a statistical group comparison.Journal of occupational medicine and toxicology (London, England) · 2015Article
- The impact of training and working conditions on junior doctors' intention to leave clinical practice.BMC medical education · 2014Article
- The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study.BMC health services research · 2013Article
- Mental health in medical residents: relationship with personal, work-related, and sociodemographic variables.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
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5 authors.
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Abstract
purposeThe study investigates the long-term effects of accumulated working conditions on depressive symptoms in junior doctors. Drawing on the Job Demand-Control-Support model, this study aims to identify personal and job-related determinants for self-reported depression in junior doctors-a professional group that is vulnerable to depression.
methodsWe conducted a prospective cohort study with measures of work characteristics and depressive symptoms over three time-points among hospital doctors during postgraduate specialty training in Germany. Participants were 415 junior doctors with full-time contract (47.5% women; mean age, 30.5 years). The outcome was depressive symptoms assessed with the Spielberger State-Depression Scale. Odds ratios (OR) were computed to analyse the cumulative effect of initial depressive symptoms scores, demographic variables, and working characteristics across T1 and T2 on subsequent depressive symptoms at T3.
resultsThe percentage of junior doctors reporting depressive symptoms scores above a critical value varied between 12.0% at T1, 10.4% at T2, and 13.3% at T3; N = 34 doctors (8.19%) were classified as incident cases during the observation period. Elevated depressive symptoms at T3 were positively predicted by depressive symptoms scores across T1 and T2 (OR: 1.37; 95% confidence interval: 1.25-1.50) and negatively by professional tenure (0.54; 0.31-0.96), free weekends (0.52; 0.28-0.97), and job autonomy (0.35; 0.18-0.65).
conclusionsAfter controlling for demographic and working time influences, findings suggest that junior doctors' perceived job autonomy is negatively associated with future depressive symptoms. Enhancing job control emerges as a promising strategy to lower the risk of depression during first years of professional practice.
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